Course name | Date

Phacolytic Glaucoma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; Thomas A. Lazzarini, MD; Nathan L. Scott, MD, MPP; Justin H. Townsend, MD
Presenter/Faculty: Dubovy, Lazzarini, Scott, Townsend
A patient with a history of pseudophakia OS presented with 5 years of low vision and 9 days of pain OD and was found to have light perception only vision and an IOP of 44mmHg OD. She had a granular appearing hypopyon in the anterior chamber corneal edema and a mature cataract. Immunohistological an…

Sub-Retinal Gas Post Pneumatic Retinopexy Managed with Observation

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Jason C. Fan, MD, PhD; Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Fan, Patel

(A) Fundus photo montage showing superonasal sub-retinal gas in the left eye on POD 1 after pneumatic retinopexy. (B) Single frame fundus photo showing the same. (C) Fundus photo montage on POD 7 showing resolution of the sub-retinal gas bubble with observation alone.

Alveolar Rhabdomyosarcoma

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; Umangi A. Patel, MD
Presenter/Faculty: Dubovy, Patel

Histopathology and radiographic images of rhabdomyosarcoma in a young infant.

Perfluorocarbon Liquid Retained in Anterior Chamber

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Patel, Yannuzzi

PFO liquid in the anterior chamber after retinal surgery. This caused some corneal edema and required removal.

Retinal Whitening from Cytomegalovirus Infection

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Luis J. Haddock, MD; Marilyn A. Marquez, MD
Presenter/Faculty: Davis, Haddock, Marquez

Right eye of patient who presented to clinic due to floaters, on fundus exam he had this peripheral whitish confluent granular lesion with areas of atrophy.

Choroidal Osteoma

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; J. William Harbour, MD; Brandon Sparling
Presenter/Faculty: Dubovy, Harbour, Sparling

Chroroidal Osteoma is a rare benign tumor characterized by the presence of cancellous bone within the peripapillary choroid

Myelinated Retinal Nerve Fiber Layer

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Brandon Sparling
Presenter/Faculty: Sparling

Myelinated retinal nerve fiber layer

Cyclodialysis Cleft with Hypotony Maculopathy

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Elena Bitrian, MD; Nimesh A. Patel, MD; Daniela P. Reyes-Capo, MD
Presenter/Faculty: Bitrian, Patel, Reyes-Capo

This patient presented with low eye pressure post trauma. OCT shows hypotony maculopathy with choroidal folds. Surgery with direct suture pexy was performed. The pressure improved and the maculopathy improved.

3-Piece Intraocular Lens in the Anterior Chamber

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Allister G. Gibbons, MD
Presenter/Faculty: Gibbons

An otherwise asymptomatic 82-year-old patient with uncorrected visual acuity of 20/25 at distance presents for a routine eye exam in clinic.

Widefield Optical Coherence Tomography of Neovascularization in Diabetic Retinopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel

OCTA demonstrating neovascularization (yellow arrow) growing into the vitreous with widefield imaging.

X-linked Retinoschisis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD; Camila V. Ventura, MD, PhD
Presenter/Faculty: Berrocal, Patel, Ventura
This is congenital retinal dystrophy is caused by a mutation in the retinoschisin (RS1) gene, which encodes for a protein that functions in cellular adhesion. The fundus photo shows a macular stellate pattern caused by schisis or splitting of the retinal layers at the level of the outer plexiform l…

Retinitis Pigmentosa

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel

Fundus photo with peripheral hyperpigmentation and bone spicules. Angiogram demonstrating peripheral atrophy and mild vessel leakage. OCT with cystoid macula edema.

Anterior Dislocation of Crystalline Lens with Corneal Edema

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ashley M. Crane, MD; Nimesh A. Patel, MD; Nathan L. Scott, MD, MPP
Presenter/Faculty: Crane, Patel, Scott

Traumatic anterior dislocation of crystalline lens with Descemet’s folds in the cornea. The patient was treated with lensectomy and vitrectomy. Due to the high myopia, there was no need for secondary intraocular lens or contact lens. The final vision uncorrected visual acuity was 20/30 aphakic.

Chronic Retinal Detachment With Pseudocyst

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Hasenin Al-khersan, MD; Nimesh A. Patel, MD
Presenter/Faculty: Al-khersan, Patel
The pseudocyst (yellow arrow) can be a signal that the retinal detachment is chronic. The ultrasound helps to clearly define the fluid filled cavity. It is thought that these are formed by schisis cavities in the outer plexiform layer. If closure of the primary break is not possible, or if the pseu…

CMV Retinitis with Frosted Branch Angiitis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Swarup S. Swaminathan, MD
Presenter/Faculty: Patel, Swaminathan

In this condition, vasculitis of both arteries and veins, with translucent exudation, gives a similar appearance to the frosted branches of a tree. (Yellow arrow). Superior nasally, there is also the classic retinal whitening with retinal hemorrhages, also known as a “pizza pie fundus”.

Iris, Lens and Zonule Coloboma

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Brenda Fallas; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Fallas, Patel
These are caused by failure of the embryonic fissure to close during the second month of development in utero. The iris defect is also known as a "keyhole" pupil. Here, there is not only an iris defect, but also missing tissue in the lens (yellow arrow) and zonules. This can cause difficulties duri…

Retinoblastoma

Specialty: Ocular Oncology
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Zelia M. Correa, MD, PhD; J. William Harbour, MD
Presenter/Faculty: Correa, Harbour

Group E retinoblastoma

Acanthamoeba Keratitis with Radial Perineuritis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Ann V. Quan, MD; Nimesh A. Patel, MD
Presenter/Faculty: Quan, Patel

White linear radial stromal haze caused by infiltration and inflammation of the corneal nerves by the amoeba.

Acute Retinal Necrosis Pre and Post Treatment

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Janet L. Davis, MD; Nimesh A. Patel, MD
Presenter/Faculty: Davis, Patel
Presentation with peripheral retinal whitening and perivascular hemorrhages. PCR was positive for HSV. Treatment was with the intravitreal antiviral Foscarnet as well as oral Valacyclovir. On 3 months follow up there was improvement in the retinitis with peripheral atrophy that was laser demarcated…

Amalric Triangular Choroidal Infarction in Giant Cell Arteritis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
The patient presented with ocular ischemic syndrome and corneal edema in the fellow eye. In the right eye on angiography there is temporal non-perfusion as well as choroidal hyperfluorescent infarcts in the late phases. ESR and CRP were elevated. Diagnosis of GCA was made. The patient retained 20/3…